Inspection on 23/09/08 for Park Lodge

This inspection was carried out on 23rd September 2008.

CSCI found this care home to be providing an Adequate service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Park Lodge 15/10/09

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

CARE HOMES FOR OLDER PEOPLE Park Lodge 18 Ridgeway Broadstone Poole Dorset BH18 8EA Lead Inspector Vanessa Carter Unannounced Inspection 23rd September 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park Lodge Address 18 Ridgeway Broadstone Poole Dorset BH18 8EA 01202 694232 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Vimla Heeroo Mr Kevin Arjoon Heeroo Mrs Vimla Heeroo Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Old age, not falling within any other category - (Code OP) The maximum number of service users who can be accommodated is 17. NEWLY REGISTERED SERVICE Date of last inspection Brief Description of the Service: Park Lodge has been a residential care home for many years but Mr and Mrs Heeroo became the new owners in March 2008. Mrs Heeroo is also the Registered Manager. The home is registered with the Commission for Social Care Inspection to provide personal care (not nursing care) for to up to 17 people. Park Lodge is a large Victorian house, standing in mature grounds in the residential area of Broadstone, Poole. The home is located close to local shops, Churches, Doctor surgeries, the library and the Post Office. The main bus route into Poole passes the end of the road. The cost of placement at the home is between £465.00 – 475.00 and is dependent upon assessed need. Additional costs will be made for a range of items and these are detailed in the homes brochure. Prospective residents are able to find out about the home by requesting a copy of this from the Home Manager. Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This key inspection was unannounced and took place over one day. A total of six hours were spent in the home. Evidence to form the report has been gathered from a number of sources:• Information provided by the Proprietor/Home Manager in the Annual Quality Assurance Assessment (AQAA) • Talking with the Home Manager • Talking with the care staff who were on duty • Talking with a number of the people who live in the home • Observations of staff practices and their interaction with the people who live in the home • A tour of the home • Case Tracking the care of a number of people • Looking at some of the homes records What the service does well: The homes admission procedure ensures that placement is only offered to those whose needs can be met. Prospective residents are provided with information about the home. Residents will be well cared for and can be assured that their needs will be met at Park Lodge. Residents benefit from living in a home where they are encouraged to maintain an independent lifestyle and are provided with good food. Residents and their relatives can be assured that any concerns or complaints they have will be listened to and acted upon. Residents live in a clean and tidy home that is safe, well maintained and comfortably furnished. The homes recruitment practices ensure that residents are safely cared for by suitable staff, but some improvements with staff training would benefit staff awareness. Residents live in a home that is well managed and run in their best interests. Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes admission procedure ensures that placement is only offered to those whose needs can be met. Prospective residents are provided with information about the home. EVIDENCE: The homes Statement of Purpose contains all the necessary information for a prospective resident and/or their representative to make an informed choice about moving to the home. The document has recently been reviewed and reflects the aims and objectives of the home, and details the services and facilities on offer. There is also a service users guide. In addition the home have an advertising brochure complete with artists drawings of the home, enabling the reader to get a full impression of the home. All these documents are available for potential residents who enquire about the home or who visit. Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 9 All newly admitted residents will be provided with a “residents contract of admission”. The completed forms were seen for the most recently admitted resident. The manager has already seen the need to ask for more detailed information about people who want to come and live at Park Lodge and have therefore made improvements to their pre-admission assessment processes. Prospective residents will be invited to visit the home for the day. Where placement is offered to people who live outside of the immediate area, as much information as possible will be gathered to ensure that the home is able to meet the person’s needs. Local people may be visited in either their own home, or the hospital. One resident who recently moved to the home said “My family made all the arrangements and knew this home. They live nearby”. All new placements are arranged on an initial trial basis, with a review meeting being held at the end of this period. Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents will be well cared for and can be assured that their needs will be met at Park Lodge, however some care planning documentation needs to be improved and updated as and when necessary. EVIDENCE: Three care plans were looked at including one for a newly admitted resident. The plans were based upon a full assessment of need and evidenced that each person is treated as an individual, with a different set of care needs. All three plans however needing reviewing and updating as observations made during the inspection were that some care needs were not referred to in the care plans. For one person, they were regularly visited by the district nursing services however there was no reference in their care plan to any wounds or dressing. For a second person their mobility had significantly changed and is now variable from day to day, but this was not reflected in their plan of care. For the third person, their health had significantly deteriorated and new care and support needs were not reflected. However, despite these shortfalls discussions with the manager and the staff team evidenced that the residents Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 11 are getting the care and support that they need. Care planning must be reviewed effectively upon a monthly basis and updated as necessary. Specific information regarding any moving and handling procedures for each resident is not recorded as part of the care planning documentation. A manual handling risk assessment should be completed for each person and a “safe system of work” be devised for those residents who need assistance with tasks such as bathing. This will safeguard both resident and staff member from incurring any injury due to lifting procedures. A record is kept of all contacts with GP’s and other healthcare professional. One resident said “if I need to see my doctor the staff will arrange for him to call”. GP’s will visit on a “as and when needed” basis. District Nursing Services will be asked to visit the home to complete any nursing tasks. The advice of physiotherapists and occupational therapists will be sought when this is necessary. The systems for the ordering, receipt, storage, administration and disposal of medications are safe and follow good practice guidelines. A number of the residents have retained responsibility for their own medications, and the home have the appropriate systems in place to ensure that medicines are safely stored and the residents ability to self-medicate in kept under review. Residents commented favourably in person during the inspection, saying they felt they were treated well and that the carers were “kind and helpful”, “were respectful” and “I have been here a long time this is my home”. The staff were observed going about their duties in a friendly and calm manner. Staff helped the residents courteously and respectfully. Whilst the care provided at Park Lodge does not include nursing care, the staff would endeavour to look after any resident who became unwell or who was reaching the end of their illness. They would only be able to do this with district nursing, GP and other healthcare professionals support. Where a resident has end of life care needs these must be planned with the relevant people and the appropriate records maintained to ensure that individuals specific wishes are respected. Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a home where they are encouraged to maintain an independent lifestyle and are provided with good food. EVIDENCE: The majority of residents are still fairly independent and able to continue to take an active part in activities inside and outside of the home. They are able to come and go as they please and there are no restrictions placed upon them about when they can go out. One resident went along to a local day club, whilst others attended a church service and took communion from a visiting church member. Some residents choose to spend their time in their rooms during the day whilst others were in the lounge or the conservatory. One resident said “I generally come down stairs in the mornings and go back to my room after lunch”. Residents were observed moving independently around the home, using walking aids. There is a weekly programme of activities and examples of what happens include exercise sessions music, memory games and arts and crafts. An outside entertainer is arranged on a monthly basis and a hairdresser visits the home on a weekly basis. Residents are able to choose whether they participate or not and there was also evidence that residents are encouraged to be involved in the preparation of activities if they want to. Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 13 The home has an open visiting policy and visitors are able to call at any reasonable time. Residents are able to make choices about how they spend their time, what time they would like to get up and retire and where to take their meals. The home has a four-week menu plan, and each day the planned meal is written up on a white board in the main lounge. The main meal at lunchtime is set but alternatives can always be provided upon request. The staff team are aware of each resident’s likes and dislikes. Breakfasts are served in the resident’s own bedroom and most of the residents have their lunch in the dining room. The home has two cooks who each cover part of the week. Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents and their relatives can be assured that any concerns or complaints they have will be listened to and acted upon. Staff must be clearer about adult protection issues to ensure that residents are safeguarded from any harm. EVIDENCE: The homes complaints procedure is included within the statement of purpose, and service users guide and is displayed on the notice board in the main hallway. One resident said “ I have nothing to grumble about”, and another said “the staff always listen to me and do what I ask, if it is possible”. CSCI have received no complaints about this home and the manager has not had to deal with any complaints since taking over ownership of the home The home manager will need to attend the local authority Adult Protection training (POVA or Safeguarding Adults training) to increase her knowledge of safeguarding adult issues so that she is fully aware of her responsibilities towards those residents in her care. After discussion with the three staff members who were on duty, it is apparent that whilst they are fully aware of their responsibility to safeguard residents and to report bad practice (to whistleblow), they were unsure of what action to take apart from ‘report to the manager’ and did not know how to report concerns to the appropriate agencies. They have a copy of the Borough of Poole Adult Protection Procedures and this contains all the necessary contact telephone numbers and agreed protocols. This information must be made available for the staff team should they need it. Additional training must also be arranged. Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean and tidy home that is safe, well maintained and comfortably furnished. EVIDENCE: Park Lodge care home is a Victorian detached property, complete with a newer side extension, located in the leafy suburbs of Broadstone in Poole. It is within walking distances to a full range of shops and bus services into the centre of Poole pass the end of the road. The rear garden provides a pleasant seating area and pond with fish and water lilies. It is an imposing property and accommodation is arranged over two floors. The third floor is a non-residential area and is used as office accommodation. The home is well maintained throughout. Disabled access into the home is good – there is a ramped pathway up to the front door, but also access can be gained through the rear of the property, via the conservatory. There is a shaft lift installed so residents can access both floors, however on the upper floor there are two steps in Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 16 between the old and new part of the building. This affects who can be accommodated upon this floor. The home is decorated and furnished to a satisfactory standard, creating a comfortable and homely atmosphere. Bedrooms will generally be redecorated in between residents. There are two lounges – the larger lounge area is the conservatory, where there is a very large TV, and a range of comfy chairs. There are plans to purchase new seating and to fit blinds in the conservatory. The dining room is set up with small tables but the area is currently jaded. The new owners are hoping to redecorate this area soon to make it more pleasing. The majority of residents take their midday meal in the dining room but can choose to have their meal served in their own bedroom. A range of disability equipment is located throughout the home. Equipment includes grab rails, bath seats, a walk-in shower, a passenger lift, wheelchairs and equipment to help maintain skin integrity. They also have a manger elk lifting cushion, so that they can lift any resident who has fallen using, safe moving and handling procedures. There is one bathroom fitted with a swivel bath seat, and one walk-in shower room complete with seating and grab rails. Twelve of the bedrooms have ensuite facilities – of a toilet and wash hand basin. There is one additional bathroom but this is not currently used and would need refurbishment before being usable. The home has 17 single bedrooms. The majority of residents’ bedrooms were seen during the course of the inspection - the rooms are each pleasant and have been personalised with the residents’ own personal possessions and belongings. Some of the rooms are small, but each is furnished with the required furniture. The home was clean, tidy and smelt fresh throughout, on the day of inspection. “ They always keep everything clean and tidy” was one comment made by a resident. Currently the laundry room, containing one washing machine and a tumble dryer is located in the back corridor but there are plans to move the machines out into an outhouse, behind the house. This will be much improved. Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes recruitment practices ensure that residents are safely cared for by suitable staff, but some improvements with staff training would benefit staff awareness. EVIDENCE: The home currently has full occupancy. On the day of inspection there was one senior care assistant, and two other care staff on duty. There was also the cook and the home manager. Staff confirmed that this is the normal staffing levels and is appropriate in meeting the care needs of the current residents. At night, there are two carers but one only provides “sleep-in cover”. The manager explained that since they have taken over, there has been a period of unrest amongst the staff team, and a number have left. The home plans to continue making progress in achieving a 50 ratio of trained members of care staff - there are currently, four care staff with NVQ Level 2 in care, one with equivalent qualifications and one with NVQ Level 3 (33 ). The staff files of four staff members were examined – these files were all in order. No new staff have yet been recruited by the new owners, however the process or recruitment for additional staff has now begun. A discussion with the manager about recruitment procedures evidenced her knowledge of the need for robust processes to ensure that all new staff are properly vetted Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 18 before employment. This standard will need to be followed up at the next inspection. Regarding the existing members of staff, some of whom have been employed at the home for many years, the CRB disclosures were up to five years old. It would be good practice for all CRB’s to be renewed on a three yearly basis. New staff will be expected to complete an induction-training programme when they start work at the home, and this meets the Skills for Care guidelines. This standard will also need to be followed up at the next inspection. The manager is in the process of completing a staff training matrix to show where any gaps are in the mandatory training programme. Staff training files evidenced that the team have received mandatory training – for example manual handling, first aid, safe medication administration, and fire safety, but for some this needs to be refreshed or updated. There was evidence that some staff have had training in the new Mental Capacity Act and Diabetes. As previously mentioned the staff team need to have further training in Adult Protection issues, and CSCI must be notified about what is put in place to achieve this. Despite this training shortfall, there are no concerns regarding the resident’s safety. Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is well managed and run in their best interests. EVIDENCE: Mrs Vimla Heeroo is the new owner and registered manager for Park Lodge. She is a registered nurse, and has previously worked in care homes. She will be starting an NVQ 4 in management course in October. There are plans for the home to appoint a deputy manager to strengthen the management structure. Staff meetings and residents meetings have been held by the new manager and will be held on a regular basis. The first quality assurance assessment will soon be completed and there are plans to then do this on a six monthly basis. The manager sees this first inspection as being a good benchmark to determine where improvements are needed. Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 20 The home does not hold monies on behalf of the residents. Staff state that they have regular informal support from the manager but that formal supervision arrangements have not yet been set up. The manager confirmed that a programme of staff supervision has not yet been set up and that arrangements will be put in place to ensure that each staff member is supervised at least six times a year. All records required to be available for inspection were produced as requested. Resident’s information is kept secure in a locked cabinet. No notifications of events have been made to CSCI (referred to as Regulation 37 forms) – the manager explained that no such events have occurred. However one person has recently been admitted to hospital and this is one such event. The manager must ensure that notifications of all appropriate events are made within a timely manner. The fire records were examined. All the necessary weekly, monthly and quarterly checks had been completed. The manager had general fire safety training in May 2008. Staff have had recent fire training updates. Fire drills are organised on a regular basis. Any maintenance tasks required in the home are arranged on an “as-andwhen-required” basis. The home looked well maintained throughout. Staff will all have manual handling training on a yearly basis however confirmed that there is only a minimal need to lift residents, as part of their general daily duties. Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 3 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X N/A 2 2 3 Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15(2)c Requirement The registered person must ensure that care planning documentation is effectively reviewed and updated as necessary. The registered person must ensure that the staff are fully aware of what action to take if abuse is witnessed or alleged or suspected. Staff must be aware of locally agreed procedures for reporting matters. The registered person must ensure that we are notified of all events that occur in the home, as listed in schedule 4 (12) Timescale for action 23/11/08 2 OP18 13(6) 23/10/08 3 OP37 17(2) 23/10/08 Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP11 Good Practice Recommendations The registered person should ensure that end-of-life care planning is appropriately recorded so that resident specific needs are met. Information regarding the process for reporting abuse or safeguarding issues should be provided for all staff and displayed in staff areas. CRB disclosures should be renewed for all staff every three years as good practice. All staff should receive formal supervision at least six times a year and records should be maintained. 2 OP18 3 4 OP29 OP36 Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Park Lodge DS0000071521.V371780.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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